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Based on record review and interview, the hospital failed to ensure that the nursing staff developed, and kept a current, and individualized nursing care plan for each patient that reflects the patient's goals and the nursing care to be provided to meet the patient's needs. This deficient practice is evidenced by the failure to update the care plans of 2 (Patient #4 and 6) of 6 (#1-6) patients reviewed for completed and updated care plans.
Findings:

Review of the hospital's policy TX.018 titled, "Multi-Disciplinary Treatment Planning revealed in part: 3. Treatment Team - 1. The master treatment plan shall be reviewed and revised in the treatment team meeting at least every 7 days after it has been initiated for acute patients and more frequently if the patient exhibits significant change of behavior or requires special treatment procedures such as seclusion or restraint.

Review of the Treatment Plans for patients Patients #4 and 6 failed to reveal the plans were updated following documented inappropriate sexual behavior.

On 03/14/2024 at 2:00 p.m., S1CNO reviewed Patients #4 and 6's treatment/care plan and acknowledged the treatment/care plans were not updated to include the inappropriate sexual behavior. S1CNO further stated the treatment/care plans should have been updated for the exhibited and documented inappropriate sexual behavior.